Individual
ROBERT JOSEPH KELLY JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
4700 WATERS AVENUE, 1ST FLOOR MUS BLDG, SAVANNAH, GA 31404
(912) 350-8712
(912) 350-8753
Mailing address
4700 WATERS AVE 1ST FLOOR MUS BLDG, SAVANNAH, GA 31404
(912) 350-3438
(912) 350-9037
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
067234
GA
208600000X
Surgery Physician
MD30436
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
003121278B
—
GA
05
—
003121278E
—
GA
05
—
GA1298
—
SC
01
—
P01070459
RAILROAD MEDICARE
GA
Enumeration date
01/22/2007
Last updated
08/08/2018
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